Cooling the Infant
During cooling therapy, the infant should be cared for on an open warmer as the cooling blanket should lie flat and the connecting hoses should remain unkinked.A. Position the pre-cooled 25” x 33” blanket fully unfolded under the infant. Lay the infant supine with occiput resting on the blanket.
B. Using soft clips, suspend the unfolded 25” x 64” blanket from an IV pole or portable rack positioned near the unit.
C. Turn the radiant warmer or any other source of exogenous heat off.
D. Insert the esophageal probe plug into the patient probe jack on the right side of the unit.
E. Change unit operation to the Automatic Control Mode.
minutes from initiation of the cooling therapy. While maintaining the infant’s temperature at 33.5°C, the blanket itself will feel warm to the touch.
Once stable at 33.5°C, some esophageal temperature fluctuation around the Setpoint is to be expected, but should not be greater than +/- 0.5°C. Upon initiation of cooling, with the exception of the diaper worn by the infant, it is optimal not to have any material between the infant and the blanket since interposed surfaces may alter the desired cooling. Once the infant’s esophageal temperature has reached the Setpoint of 33.5°C, a single layer such as a thin receiving blanket may be placed between the infant and the cooling blanket to prevent soiling of the cooling blanket. Rolled cloth blankets and other positioning aids may be used but should be placed under the cooling blanket.
B. Using soft clips, suspend the unfolded 25” x 64” blanket from an IV pole or portable rack positioned near the unit.
C. Turn the radiant warmer or any other source of exogenous heat off.
D. Insert the esophageal probe plug into the patient probe jack on the right side of the unit.
E. Change unit operation to the Automatic Control Mode.
- Press TEMP SET switch.
- Press the Up arrow to change the SETPOINT display to 33.5°C. This will be the SETPOINT for the next 72-hour period.
- Press the AUTOMATIC CONTROL switch.
minutes from initiation of the cooling therapy. While maintaining the infant’s temperature at 33.5°C, the blanket itself will feel warm to the touch.
Once stable at 33.5°C, some esophageal temperature fluctuation around the Setpoint is to be expected, but should not be greater than +/- 0.5°C. Upon initiation of cooling, with the exception of the diaper worn by the infant, it is optimal not to have any material between the infant and the blanket since interposed surfaces may alter the desired cooling. Once the infant’s esophageal temperature has reached the Setpoint of 33.5°C, a single layer such as a thin receiving blanket may be placed between the infant and the cooling blanket to prevent soiling of the cooling blanket. Rolled cloth blankets and other positioning aids may be used but should be placed under the cooling blanket.